Individual
JOANNA LUCIA BISSELL
Active
Individual
JOANNA LUCIA BISSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LCSW-C, LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2018039484
MO
1041C0700X
Clinical Social Worker
22628
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490066029
—
MO
Enumeration date
04/18/2017
Last updated
06/11/2019
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